MANUEL DOMINGUEZ MD PA
Osteopathic Medicine at Washington Ave, Miami, FL

License number
Florida ME29578
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: MANUEL DOMINGUEZ M.D.
Title: HEAD MD
Phone: (305) 532-4122
Address
Address
1540 Washington Ave, Miami, FL 33139
National Provider ID: 1801147541
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Manuel Dominguez, M.D., PA

1218 Washington Ave, Miami, FL 33139

Status:
Inactive
Registration:
Nov 9, 1981
State ID:
F53230
Business type:
Domestic for Profit Corporation
President, Director, Secretary:
Manuel Dominquez President, Director, Secretary, inactive
Agent:
Melvin C. P.a. Morgenstern

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